摘要
目的:观察穴位埋线对中风偏瘫患者足底压力的影响及其对此类患者平衡力恢复的作用。方法:98例中风偏瘫患者随机分为常规治疗组和埋线组,各49例,最终每组有48例患者完成治疗。其中常规治疗组采用内科常规治疗、常规针刺与康复训练法进行治疗。埋线组在上述治疗基础上,于双侧肾俞、心俞、肝俞、脾俞及关元、气海穴给予穴位埋线治疗。两组均治疗3周。检测患者治疗前及治疗后1~3周足底压力以及Berg平衡量表(BBS)评分。结果:(1)与治疗前比较,治疗3周后两组患者的患足静态足底压力百分比均明显升高(P<0.05,P<0.01)。在治疗1周后埋线组患足静态足底压力百分比较常规治疗组明显升高(P<0.01)。(2)与本组治疗前比较,埋线组治疗3周后患足第1趾、患足第1跖骨、患足第3跖骨、患足足中部、患足足跟内侧峰值压力明显上升(P<0.05,P<0.01);常规治疗组患足第1跖骨、患足足跟内侧峰值压力明显升高(P<0.05)。治疗1周后埋线组的动态患足第1趾峰值压力较常规治疗组明显升高(P<0.05);治疗1周、2周后埋线组的动态患足第1跖骨及足中部峰值压力较常规治疗组明显升高(P<0.01,P<0.05);治疗1、2、3周后埋线组的动态健足足中部峰值压力较常规治疗组明显下降(P<0.01)。(3)治疗3周后两组患者的BBS评分均较本组治疗前明显升高(P<0.05),埋线组BBS评分较常规治疗组明显升高(P<0.05)。结论:穴位埋线能改善中风偏瘫患者的足底压力及平衡功能,穴位埋线有助于恢复躯体的平衡功能,改变患者重心,逐步向健足、患足前中足部转移负重,而非仅由健足足跟部承受重量。
Objective To investigate the therapeutic effect of acupoint catgut embedding on balance function and plantar pressure in hemiplegic patients. Methods A total of 98 hemiplegic patients were equally randomly assigned to routine treatment group and acupoint catgut embedding group. The patients in the routine treatment group were given routine medical treatment, routine acupuncture and rehabilitation training. And those in the catgut embedding group were given catgut embedment at Shenshu(BL23), Xinshu(BL15), Ganshu(BL18), Pishu(BL20), Guanyuan(CV4) and Qihai(CV6) in addition to the treatment in the routine treatment group. The course of treatment was 3 weeks for both groups. The plantar pressure as well as the Berg balance scale(BBS) score were measured before and after treatment. Results(1) After 3 weeks treatment, the percentage of static plantar pressure of the affected foot was significantly increased in the two groups compared with their own pre-treatment(P<0.05, P<0.01), and it was significantly higher in the catgut embedding group than in the routine treatment group after one week treatment(P<0.01).(2) After 3 weeks treatment, the peak pressures of the following parts in the catgut embedding group increased significantly in comparison to its own pre-treatment(P<0.05, P<0.01), which were 1) the first toe(affected foot), 2) the first metatarsal bone(affected foot), 3) the third metatarsal bone(affected foot), 4) the middle of foot(affected foot), 5) the medial heel(affected foot). After 3 weeks treatment, the peak pressures of the first metatarsal bone and the medial heel of the affected foot in the routine treatment group were significantly higher than those before treatment(P<0.05). After 1 week treatment, the peak pressure of the first toe of the affected foot in the embedding group was significantly higher than that in the routine treatment group(P<0.05). The peak pressures of the first metatarsal bone and the middle of the affected foot in the catgut embedding group were significantly higher than those in t
作者
杨冬岚
林希丹
周文强
YANG Dong-lan;LIN Xi-dan;ZHOU Wen-qiang(Department of Acupuncture-moxibustion and Rehabilitation,Quanzhou Hospital of Traditional Chinese Medicine,Quanzhou 362000,Fujian Province,China;Rehabilitation Department,Quanzhou Fengze District Beifeng Community Health Service Center,Quanzhou 362000,Fujian Province)
出处
《针刺研究》
CAS
CSCD
北大核心
2021年第2期152-157,共6页
Acupuncture Research
基金
全国中医药创新骨干人才培训项目(No.国中医药办人教函[2019]91号)。
关键词
穴位埋线
足底压力
下肢运动功能
平衡功能
峰值压力
偏瘫
Acupoint catgut embedding
Plantar pressure
Lower limb motor function
Balance function
Peak pressure
Hemiplegia
